Individual provider Active NPI

Lindsay Drewry, OTR/L

  • Occupational Therapy Assistant
  • Frederick, MD
National Provider Identifier
1053823690
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
08305 Issued in MD
Practice address
187 Thomas Johnson Dr Ste 6
Frederick, MD 21702-4382
Phone
(301) 473-5945
Fax
(301) 473-5901
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 08305 MD Primary

Addresses

Primary practice location

187 Thomas Johnson Dr Ste 6
Frederick, MD 21702-4382

Mailing address

187 Thomas Johnson Dr Ste 6
Frederick, MD 21702-4382
Phone (301) 473-5945

Other names 1

  • Lindsay Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171219000046 MD Practitioner - Occupational Therapist in Private Practice 8729346895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08305MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Hill Physical Therapy, Inc. CurrentSince Nov 13, 2017 Accepting new patients

Locations

187 Thomas Johnson Dr
Ste 6
Frederick, MD 21702
Phone (301) 663-1157

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1053823690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 THOMAS JOHNSON DR STE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024382",
            "telephone_number": "301-473-5945",
            "fax_number": "301-473-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 THOMAS JOHNSON DR STE 6",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024382",
            "telephone_number": "301-473-5945",
            "fax_number": "301-473-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWRY",
        "first_name": "LINDSAY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "08305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "JOHNSON",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.